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Cirrhosis Complications (Intro: (Liver functions (Toxin processing: NH3 …

- - - - Pt: Confused, AMS, aterexis (flapping)
        Dx: S/s
        Tx: Lactulose (1st line)
        
        fifaximin
        
        zinc
        
        :warning:Don't get NH4 levels! Won't have any correlation to encaphalopathy. Clinical dx only.
    - - Thrombocytopenia (splenic sequestration)
        
        Ascites
        
        Varicies (portal caval shunts)
        
        Once cause of Portal Caval shunts
        
        Pt: Asx incidental finding
        
        or Massive GI bleed
        
        Dx: EGD
        
        Tx: Depends on if Bleeding or not
        
        2 more items...
- - - - SAAG: Serum albumin - Fluid albumin
      - Hi SAAG ≥1.1
        
        Fluid is mostly water, low albumin
        
        Portal HTN
        
        Cirrhosis
        
        Pt:
        
        Blulging flanks
        
        Shifting Dullness
        
        Fluid Wave :ocean:
        
        Dx:
        
        Paracentesis: SAAG
        
        Culture/gram stain/Protein/Cell count
        
        1 more item...
        
        RHF :<3:
        
        Low SAAG <1.1
        
        Lots of albumin/cells in fluid
        
        TB
        
        Cancer :crab: